肾移植围手术期康复治疗研究进展

马晓杰; 姚波暖; 游咏; 蒋鸿涛

doi:10.3969/j.issn.1674-7445.2023.03.021

肾移植围手术期康复治疗研究进展

doi: 10.3969/j.issn.1674-7445.2023.03.021

570100 海口，海南医学院第二附属医院康复科（马晓杰、姚波暖），神经内科（游咏），移植科（蒋鸿涛）

基金项目:

海南省自然科学基金 821QN409

海南省自然科学基金高层次人才项目 820RC766

海南省卫生健康行业科研项目 20A200360

详细信息

作者简介:

通讯作者:
蒋鸿涛（ORCID：0000-0001-9716-3233），主任医师，医学硕士，硕士研究生导师，研究方向为肾移植，Email: jht20032003@163.com

中图分类号: R617, R493
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- 被引次数: 0
出版历程
- 收稿日期: 2023-01-04
- 刊出日期: 2023-05-15

Research progress on perioperative rehabilitation of kidney transplantation

Department of Rehabilitation, the Second Affiliated Hospital of Hainan Medical University, Haikou 570100, China

More Information

Corresponding author: Jiang Hongtao, Email: jht20032003@163.com

摘要

摘要: 肾移植是临床治疗终末期肾病最有效的手段，与接受透析治疗的患者相比，肾移植受者的生存率和生活质量较高，临床结局更好。但肾移植受者常存在衰弱、心肺功能下降、认知功能障碍等生理功能障碍及心理功能障碍。近年来，随着加速康复外科概念的应用，康复治疗在优化术前基线功能、减少围手术期生理及心理应激反应、降低术后并发症发生率等方面发挥着举足轻重的作用。本文就加速康复外科在肾移植中的应用进行综述，总结肾移植预康复、术后急性期康复治疗的研究进展，为肾移植围手术期康复治疗提供参考，以期改善肾移植受者的生存质量及促进肾移植技术的发展。
- 肾移植 /
- 加速康复外科 /
- 终末期肾病 /
- 围手术期 /
- 功能障碍 /
- 衰弱 /
- 并发症 /
- 血栓
Abstract: Kidney transplantation is the most effective treatment for end-stage renal disease in clinical practice. Compared with patients receiving dialysis, kidney transplant recipients may achieve higher survival rate and quality of life, and better clinical outcomes. However, kidney transplant recipients constantly develop physiological and psychological disorders, such as frailty, decreased cardiopulmonary function and cognitive dysfunction, etc. In recent years, with the application of the concept of enhanced recovery after surgery (ERAS), rehabilitation therapy plays a pivotal role in optimizing preoperative baseline function, mitigating perioperative physiological and psychological stress and reducing the incidence of postoperative complications. In this article, the application of ERAS in kidney transplantation was reviewed, and research progress on pre-rehabilitation before kidney transplantation and acute-stage rehabilitation after kidney transplantation was summarized, aiming to provide reference for perioperative rehabilitation of kidney transplantation, enhance the quality of life of kidney transplant recipients and accelerate the development of kidney transplantation techniques.
- Kidney transplantation /
- Enhanced recovery after surgery /
- End-stage renal disease /
- Perioperative period /
- Dysfunction /
- Frailty /
- Complication /
- Thrombus

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参考文献(51)

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